Michael Marcello

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41131 Issued in CA

Practice address

550 S Winchester Blvd Ste 106
San Jose, CA 95128-2544

Phone

(408) 293-7767

NPI assigned

Mar 13, 2014

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2014.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1134545262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S WINCHESTER BLVD STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282544",
            "telephone_number": "408-293-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WINCHESTER BLVD STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282544",
            "telephone_number": "408-293-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Mara, R.N.
• Cindy Maradiga
• Allysa Maralit
• Russell Maramag, DC
• Victor Tolibas Marcellana, MFTI
• Andrea Nicole De Borja Marcelo
• Nadine Marcelo
• Gina Ann Marchana
• Maksim Marchenko, M.D
• Nichole L Marchese

• All providers in San Jose, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.